Salary data · Montana

Occupational therapist salary in Montana

Occupational therapists in Montana earn a mean of $92,310 a year and a median of $88,990, 8.9% below the national mean of $101,280. That ranks 40th of the 51 states with a published estimate.

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$92,310

Mean annual wage

about $44 an hour

$88,990

Median annual wage

40th of 51

State rank

by mean wage

420

OTs employed

BLS estimate

Source: BLS OEWS, May 2025 estimates. These are estimates for occupational therapists already employed in Montana, not offers; the hourly figure divides the annual mean by 2,080 hours. Setting, specialty and caseload move an individual offer well above or below them. Updated October 22, 2026.

By metro

Occupational therapist pay by metro in Montana

Metro estimates from the same survey, highest mean first. Each city links to its full therapy workforce page.

Metro	Mean	Median	Employed
Missoula	$89,660	$87,300	40
Billings	$89,330	$85,340	130
Great Falls	$87,820	$80,390	40

Source: BLS OEWS metropolitan estimates. Suppressed cells show n/a.

The market

How many occupational therapists work in Montana

446 occupational therapists hold an active individual NPI with a practice address in Montana, 39.0 per 100,000 residents, and 15 new ones enrolled in the last twelve months. A high wage with few clinicians per capita usually means employers are competing for people; a low one in a crowded market means the opposite.

Source: NPPES monthly file, October 2026 (CMS, public domain), as of October 2026.

Licensed in another state?

Montana has enacted the OT Compact but is not yet issuing compact privileges, so occupational therapists and occupational therapy assistants licensed elsewhere still need a Montana license for now.

How the OT Compact works →

Open roles

OT openings in Montana

No public OT listing in Montana right now. Most of our searches are confidential and never posted, so tell us what you want and we will match you quietly.

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